Articles for therapists and counsellor about CBT - Cognitive Therapy. These posts are intended to help the beginning CBT practitioner and also provide food for thought for experienced cognitive therapists. Provided by UKCP Central London therapist and accredited CBT practitioner and supervisor Tim LeBon.

Cognitive-Behavioral Therapy for Generalized Anxiety Disorder With Integrations From Interpersonal and Experiential Therapies

and it's written by Tom Borkovec, Michelle Newman and Louis Castonguay.

This is the abstract

After providing background information on the definition andnature of generalized anxiety disorder, this article describescognitive-behavioral therapy (CBT) methods that have been empiricallysupported in the treatment of this disorder. Subsequent to thisdescription, relevant outcome literature is briefly reviewed,along with evidence that the addition of other techniques beyondtraditional CBT methods may be necessary to maximize clinicaloutcome. A description is then provided of an integrated interpersonal/emotionalprocessing therapy that the authors have recently added to theirCBT protocol. CBT with and without this integrated treatmentis currently being evaluated in an experimental trial.

The article is now a little out of date, but does include a good survey of CBT for GAD as understood in 2004 - for example it mentions but does not go into detail about Dugas' model focussing on intolerance of uncertainty and does not mention Wells' metacognitive approach. It does, however, go into some detail about Borkovec's own theory that worry is a form of avoidance i.e. one of the functions of worry is to avoid experiencing anxiety - a strategy that backfires and is addressed by facing the anxieties. The article also introduces the idea of integrating interpersonal concerns into CBT, a useful idea given the recent interest in Interpersonal Therapy.